- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,150.00 / $3,909.00 / $12,600.00
| Facility | | $1,150.00 | $3,909.00 | $12,600.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,873.50 / $12,508.22 / $19,762.84
| Facility | | $7,873.50 | $12,508.22 | $19,762.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,641.98 / $7,641.98 / $7,641.98
| Facility | | $7,641.98 | $7,641.98 | $7,641.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,008.90 / $1,384.58 / $11,495.55
| Facility | | $1,008.90 | $1,384.58 | $11,495.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,209.00 / $8,835.00 / $14,587.03
| Facility | | $2,209.00 | $8,835.00 | $14,587.03 |